Purchased in January 2025 and used approximately 20 times over about two months. I used the breast pump when I was at my limit with fatigue during nighttime feedings, so that someone else could give the milk. All included items are as shown in the photos. Instruction manual included. Operation has been confirmed, but I will disinfect and re-check the operation before shipping. ※Will be shipped without the box※ If you would like the box, the shipping cost will increase by 500 yen. Please let me know if you would like to purchase it with the box.